| 腹腔镜直肠癌前切除术258例临床分析 |
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| 引用本文： | 应晓江,沈毅,叶平江,陈洪亮,潘伟火,李振军. 腹腔镜直肠癌前切除术258例临床分析[J]. 中华腔镜外科杂志(电子版), 2010, 3(2): 42-44. DOI: 10.3877/cma.j.issn.1674-6899.2010.02.014 |
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| 作者姓名： | 应晓江 沈毅 叶平江 陈洪亮 潘伟火 李振军 |
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| 作者单位： | 绍兴市人民医院肛肠科,312000 |
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| 摘 要： | 目的探讨腹腔镜直肠癌前切除术的可行性和安全性。方法回顾分析2005年8月至2009年3月258例腹腔镜直肠癌前切除患者的临床资料。结果 11例中转开腹,其余247例腔镜下顺利完成手术。手术时间110～270min,中位时间170min,术中失血5～300mL,中位出血量40mL。切除淋巴结数8～39枚,中位数14枚。全组无手术死亡病例,1例患者出现输尿管损伤,术后发生切口感染8例,吻合口漏2例,腹腔内出血1例。患者术后1～3d开始下床活动,肛门恢复排气时间1～6d,中位时间3d,术后住院日6～28d,中位住院日9d。本组患者全部康复出院,术后随访时间3个月至4年,未发现穿刺及辅助小切口种植转移。结论腹腔镜下直肠癌前切除不仅具有创伤小、疼痛轻、恢复快等优点,在肿瘤根治方面也是安全可行的。
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| 关 键 词： | 腹腔镜 直肠癌 |
Clinical analysis of laparoscopic anterior resection for 258 cases with rectal cancer |
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| YING Xiao-jiang,SHEN Yi,YE Ping-jiang,CHEN Hong-liang,PAN Wei-huo,LI Zhen-jun. Clinical analysis of laparoscopic anterior resection for 258 cases with rectal cancer[J]. Chinese Journal of Laparoscopic Surgery ( Electronic Editon), 2010, 3(2): 42-44. DOI: 10.3877/cma.j.issn.1674-6899.2010.02.014 |
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| Authors: | YING Xiao-jiang SHEN Yi YE Ping-jiang CHEN Hong-liang PAN Wei-huo LI Zhen-jun |
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| Affiliation: | YING Xiao-jiang,SHEN Yi,YEPing-jiang,CHEN Hong-liang,PAN Wei-huo,LI Zhen-jun.Department of Colorectal Surgery,Shaoxing People's Hospital,Zhejiang312000,China |
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| Abstract: | Objective To investigate the feasibility and safety of aparoscopic anterior resection for patients with rectalcancer.Methods This study retrospectively analyzed the outcomes of 258 patients with rectal cancer received laparoscopic anteriorresection from August 2005 to March 2009.Results Of the patients,11 cases were converted into laparotomy,the other 247 caseswere completed by laparoscopy successfully.The median operative time was 170 min with a range from 110 to 270 min.The medianblood loss was 40 ml with... |
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| Keywords: | Laparoscopy Rectal cancer |
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